Skip to main content

Effects of Inhalation Anaesthetics on Renal Function A Brief Review with Special Reference to Renal Handling of Fluoride Ions

  • Chapter
Inhalation Anaesthesia Today and Tomorrow

Abstract

General anaesthesia produced by inhalation anaesthetics and neurolept anaesthesia is associated with profound changes in renal function [1–3]. Renal blood flow, glomerular filtration rate, electrolyte and water excretion are all depressed (Tables 1 and 2). The mechanisms responsible for these changes include: decreases of cardiac output and arterial blood pressure, increased sympatho-adrenal activity, release of antidiuretic hormone (ADH), and possibly an aldosterone effect on the tubules secondary to the activation of the renin-angiotensin system. However, renal function is usually restored within a few hours after termination of anaesthesia and surgery, with the exception of free water excretion, which is often impaired for several days, probably due to remaining high ADH activity [4].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Mazze RI, Cousins MJ, Barr GA (1974) Renal effects and metabolism of isoflurane in man. Anesthesiology 40:536–542.

    Article  PubMed  CAS  Google Scholar 

  2. Deutsch S (1975) Effects of anesthetics on the kidney. Surg Clin North Am 55:775–786.

    PubMed  CAS  Google Scholar 

  3. Järnberg P-O, Santesson J, Eklund J (1978) Renal function during neurolept anaesthesia. Acta Anaesth Scand 22:167–172.

    Article  PubMed  Google Scholar 

  4. Moran WH, Miltenberger FW, Shuayb WI et al. (1964) The relationship of antidiuretic hormone secretion to surgical stress. Surgery 56:205–210.

    Google Scholar 

  5. Cohen EN, Van Dyke RA (1977) Metabolism of volatile anesthetics. Implications for toxicity. Addison-Wesley Reading, pp 63–125.

    Google Scholar 

  6. Mazze RI, Shue GL, Jackson SH (1971) Renal dysfunction associated with methoxyflurane anesthesia: a randomized, prospective clinical evaluation. JAMA 216:278–288.

    Article  PubMed  CAS  Google Scholar 

  7. Mazze RI, Calverley RK, Smith NT (1977) Inorganic fluoride nephrotoxicity: Prolonged enflurane and halothane anesthesia in volunteers. Anesthesiology 46:265–272.

    Article  PubMed  CAS  Google Scholar 

  8. Maduska AL (1974) Serum inorganic fluoride levels in patients receiving enflurane anesthesia. Anesth Analg (Cleve) 53:351–353.

    CAS  Google Scholar 

  9. Cousins MJ, Greenstein LR, Hitt BA et al. (1976) Metabolism and renal effects of enflurane in man. Anesthesiology 44:44–53.

    Article  PubMed  CAS  Google Scholar 

  10. Järnberg P-O, Ekstrand J, Irestedt L et al. (1979) Renal function, fluoride formation and excretion during enflurane anaesthesia. Acta Anaesth Scand 23:444–453.

    Article  PubMed  Google Scholar 

  11. Hartnett MN, Lane W, Bennett WM (1974) Nonoliguric renal failure and enflurane. Ann Intern Med 81:560.

    Article  PubMed  CAS  Google Scholar 

  12. Loehning RE, Mazze RI (1974) Possible nephrotoxicity from enflurane in a patient with severe renal disease. Anesthesiology 40:203–205.

    Article  PubMed  CAS  Google Scholar 

  13. Eichhorn JH, Hedley-Whyte J, Steinman TI et al. (1976) Renal failure following enflurane anesthesia. Anesthesiology 45:557–560.

    Article  PubMed  CAS  Google Scholar 

  14. Carlson CH, Armstrong WD, Singer L (1960) Distribution and excretion of radio-fluoride in the human. Proc Soc Exp Biol Med 104:235–239.

    Article  PubMed  CAS  Google Scholar 

  15. Järnberg P-O, Ekstrand J, Irestedt L et al. (1980) Renal fluoride excretion during and after enflurane anaesthesia: dependency on spontaneous urinary pH-variations. Acta Anaesth Scand 24:129–134.

    Article  PubMed  Google Scholar 

  16. Järnberg P-O, Ekstrand J, Irestedt L (1981) Renal fluoride excretion and plasma fluoride levels during and after enflurane anesthesia are dependent on urinary pH. Anesthesiology 54:48–52.

    Article  PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1982 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Järnberg, P.O. (1982). Effects of Inhalation Anaesthetics on Renal Function A Brief Review with Special Reference to Renal Handling of Fluoride Ions. In: Peter, K., Jesch, F. (eds) Inhalation Anaesthesia Today and Tomorrow. Anaesthesiology and Intensive Care Medicine / Anaesthesiologie und Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-39944-6_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-39944-6_21

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-38979-9

  • Online ISBN: 978-3-662-39944-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics